牙源性粘液瘤(附23例分析)  

Odontogenic myxoma (including 23 cases)

作　　者：徐袁瑾[1] 张志愿[1] 沈国芳[1] 

机构地区：[1]上海第二医科大学口腔医学院口腔颌面外科教研室,上海200011

出　　处：《临床口腔医学杂志》2002年第1期30-31,共2页Journal of Clinical Stomatology

摘　　要：目的　探讨牙源性粘液瘤的发病规律 ,临床特点和诊断要点 ,以便进一步提高诊治水平。方法　对 2 3例经病理确诊的牙源性粘液瘤进行总结。结果　本组男女比为 1∶1.5 ;2 0～ 2 9岁 ,40～ 49岁为高发年龄组 ,发病部位以下颌骨最多见 (78% )。术前仅 3例诊断正确 ,准确率为 13 %。治疗方法以彻底切除 ,即刻修复为主。结论　牙源性粘液瘤比较少见 ,临床症状不典型 ,诊断困难。确诊需结合X线和病理检查。因其具有局部浸润性 。Objective To find out the incidence rule, the clinical features and the diagnostic points of odontogenic myxoma, so that the level of diagnosis and treatment would be improved. Methods 23 cases from Jan.1982～Dec.2000 were reviewed. All the cases were identified through pathological examination. Results Of the 23 cases, the sex ratio was 1∶ 1.5 . The group of 20～29 and 40～49 year old had high incidence, and the mandible had a predilection(78%). The clinical symptom was continuous enlargement of the jaw. Only 3 cases were diagnosed correctly preoperatively. The accuracy was 13%. Complete removal and immediate reconstruction were regarded as the rule of the treatment. Conclusion Odontogenic myxoma is not common. The low accuracy of the diagnosis is related with lacking of characteristic symptom. Radiograph and pathological examination aid to diagnosis. Because of its invasive nature, relapse will occur after conservative treatment. Also, the follow up is necessary.

关 键 词：颌骨肿瘤 牙源性粘胶瘤 诊断 治疗 

分 类 号：R739.82[医药卫生—肿瘤]